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Rhode Island rates for HCPCS 15157

Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.12 / $158.29 / $174.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.54 / $182.05 / $259.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.05 / $209.93 / $350.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,401.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.85 / $228.22 / $339.71